Individual
FREDRICK AUNDRAE DURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
375 SE NE NORTON LANE, SUITE A, MCMINNVILLE, OR 97128
(503) 472-9002
Mailing address
12535 SE KIMSEY RD, DAYTON, OR 97114-8407
(503) 864-2835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA157429
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA157429
STATE PA LICENSE NUMBER
OR
Enumeration date
06/19/2012
Last updated
05/09/2014
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